Does every woman have pelvic fluid accumulation? Four Characteristics to Be Careful of

Pelvic fluid accumulation is a common condition in women, which can be divided into physiological and pathological types. Special attention is paid to pathological pelvic fluid accumulation, and immediate examination is required after abnormal manifestations occur.

Symptoms of pelvic fluid accumulation

1. Pelvic fluid accumulation often causes symptoms such as lower abdominal pain, anal distension, low back pain and soreness, excessive or sudden lower abdominal pain, which gradually turns into swelling pain and worsens during activity, affecting normal learning, life, and work.

2. If pelvic fluid accumulation is not treated in a timely manner, it can cause inflammation and spread in the surrounding tissues of the pelvis, affecting other organs in the pelvic area.

3. If pelvic fluid accumulation is not treated in a timely manner, the fimbriae end of the fallopian tube can cause inflammatory adhesions, which can lead to infertility, abortion, childbirth, slippery fetuses, etc.

4. Patients with pelvic fluid accumulation may sometimes experience symptoms such as low fever, fatigue, lack of energy, physical discomfort, and insomnia. Patients with acute, chronic, and adnexitis are accompanied by increased vaginal discharge, irregular menstruation, menstrual disorders, physiological pain, and disharmony in sexual life.

Pelvic fluid examination

1. Ultrasound examination: The accuracy of identifying masses or abscesses formed by adhesions between the fallopian tubes, ovaries, and intestines is 85%. Generally used for the diagnosis of more severe pelvic inflammatory disease.

2. Direct coating of secretions: The common method for diagnosing acute pelvic inflammatory disease is to take samples of vaginal, cervical, or urethral secretions. The coating is thin and dried, and then tested for Neisseria gonorrhoeae using methylene blue or Gram staining. However, the detection rate of Neisseria gonorrhoeae in the cervical canal is only 67%.

3. Laparoscopic examination: used for the clear diagnosis and differential diagnosis of acute pelvic inflammatory disease, and can also preliminarily determine the degree of pelvic inflammatory disease. Laparoscopic examination can treat patients with pelvic inflammatory disease, suspected pelvic inflammatory disease, and other acute abdominal diseases.

4. Pathogen culture: The average sensitivity is 89.5%, with specificity of 98.4%, and is widely used in clinical practice.

5. Blood routine, urine routine, and erythrocyte sedimentation rate: provide a basis for the treatment of acute discitis, and through these tests, the misdiagnosis rate of acute discitis can be minimized.

Diagnosis of pelvic effusion

1. The location of pelvic fluid accumulation often occurs in lower pelvic areas such as uterine rectal traps. The commonly used effective examination method in gynecology is ultrasound, which can more accurately determine the amount of fluid accumulation.

2. Carefully combine medical history, symptoms, and physical signs to determine whether it is normal or abnormal fluid accumulation. If diagnosed with abnormal fluid accumulation, it is necessary to clarify the cause of the accumulation, and removing the cause is the key.